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MRS. IHUOMA CHINAGOROM ENYIDEDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
602 W SEMANDS STREET, CONROE, TX 77301
(936) 756-5598
(936) 249-2244
Mailing address
2218 LAUREL CREEK DR, HOUSTON, TX 77014
(832) 576-3556

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231123
TX

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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